THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, DC 20510 

Dear Mr. President:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Mitch McConnell 

Majority Leader

United States Senate

Washington, DC 20510 

Dear Senator McConnell: 

 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and 

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Harry Reid

Minority Leader

United States Senate

Washington, DC 20510 

Dear Senator Reid: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Paul Ryan

Speaker of the U.S. House of Representatives

Washington, DC 20515 

Dear Mr. Speaker:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Nancy Pelosi 

Minority Leader

U.S. House of Representatives

Washington, DC 20515 

Dear Representative Pelosi: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

 December 21, 2016 

The Honorable Kirsten Gillibrand

United States Senate

Washington, DC 20510 

Dear Senator Gillibrand: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All atomic weapons employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Charles E. Schumer

United States Senate

Washington, DC 20510 

Dear Senator Schumer: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2016 

The Honorable Brian Higgins 

U.S. House of Representatives 

Washington, DC 20515 

Dear Representative Higgins: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Bliss and

Laughlin Steel site in Buffalo, New York, to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety 

and Health (NIOSH) completed the evaluation of the petition for the time period from 

January 1, 1999, through December 31, 1999, and presented its findings to the Advisory Board on 

Radiation and Worker Health (Board) during its Board meeting on August 10, 2016, in Idaho Falls, 

Idaho, and Board teleconference on October 4, 2016. The Board considered the petition, and on 

October 24, 2016, I received the Board’s recommendation concerning this petition. I also received 

the deliberations, findings, and recommendations of the Director of NIOSH and the Director of 

CDC. Based on this information, I have determined that the following employees do not meet the 

statutory criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All Atomic Weapons Employees who worked in any area at the Bliss and Laughlin 

Steel site in Buffalo, New York, from January 1, 1999, through December 31, 1999. 

The criteria and findings upon which this determination is based are provided in the enclosed report. 

 

Please contact me if you have any further questions regarding this matter.

 

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
HHS Special Exposure Cohort Determination: 

Bliss and Laughlin Steel, Buffalo, New York [SEC 00230]

U.S. Department of Health and Human Services 

Petition to Add Members to the Special Exposure Cohort 

under the 

Energy Employees Occupational Illness Compensation Program Act of 2000 

Determination Concerning a Petition for Certain Employees from 

Bliss & Laughlin Steel

Buffalo, New York 
Page | 2 

HHS Special Exposure Cohort Determination: 

Bliss and Laughlin Steel, Buffalo, New York [SEC 00230]

I. Determination 

I, Sylvia M. Burwell, Secretary of Health and Human Services (Secretary) (HHS), have 

determined that the employees defined in Section II of this report do not meet the statutory 

criteria for addition to the Special Exposure Cohort (SEC), as authorized under the Energy 

Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 

§ 7384q. 

 December 21, 2018 [Signature on File] 

Date Sylvia M. Burwell

II. Employee Class Definition

All Atomic Weapons Employees who worked in any area at Bliss and Laughlin Steel in 

Buffalo, New York, from January 1, 1999, through December 31, 1999. 

III. Decision Criteria and Recommendations 

Pursuant to 42 U.S.C. § 7384q, to designate a class for addition to the SEC, the Secretary 

must determine, upon recommendation of the Advisory Board on Radiation and Worker 

Health (Board), that

(1) It is not feasible to estimate with sufficient accuracy the radiation dose that the class 

received; and 

(2) There is a reasonable likelihood that such radiation dose may have endangered the 

health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations to 

estimate the radiation dose that the class received with sufficient accuracy. First, the rule 

states that radiation doses may be estimated with sufficient accuracy if NIOSH has 

established that it has access to sufficient information to estimate the maximum radiation 

dose for every type of cancer for which radiation doses are reconstructed that could have 

been incurred under plausible circumstances by any member of the class. Alternatively, 

radiation doses may be estimated with sufficient accuracy if NIOSH has established that it 

has access to sufficient information to estimate the radiation doses of members of the class 

more precisely than a maximum dose estimate.

In a letter received by the Secretary on October 24, 2016, the Board, pursuant to 42 U.S.C. § 

7384q, agreed with the following NIOSH findings, effectively advising the Secretary that 

radiation dose can be reconstructed with sufficient accuracy for certain Bliss & Laughlin 

Steel (B&L) employees in accordance with provisions of EEOICPA and the SEC final rule. 

IV. Determination Findings 
Page | 3 

HHS Special Exposure Cohort Determination: 

Bliss and Laughlin Steel, Buffalo, New York [SEC 00230]

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees covered by 

this report based upon the findings summarized below. 

• NIOSH determined that the principal source of internal radiological exposure to B&L

workers during the residual contamination period was from inhalation and ingestion of 

dust residues remaining from 1951-1952 Atomic Weapons Employer uranium operations. 

• NIOSH has determined that it is feasible to reconstruct internal doses from resuspended 

residual Atomic Energy Commission (AEC)-related uranium using the techniques 

described in Battelle TBD-6000 and the surface contamination levels that were measured 

in 1992. Therefore, it is feasible to reconstruct internal radiation doses during the period 

from January 1, 1999, through December 31, 1999. 

• NIOSH determined that the principal sources of external radiation dose during the 

residual contamination period were beta and gamma exposures from uranium isotopes 

and their short-lived progeny that contaminated the surfaces of the Special Finishing 

Area.

• NIOSH has determined that it is feasible to reconstruct external radiation doses from beta 

and photon doses by applying the factors in Battelle TBD-6000 that convert a measured 

surface contamination level to dose. 

• NIOSH finds that it is not applicable to reconstruct occupational medical dose for B&L

workers during the period under evaluation. Because there was no AEC work during the 

residual contamination period, any medical screening during that time would not be a 

covered occupational exposure. 

• NIOSH has determined that it is feasible to reconstruct external radiation doses during 

the period from January 1, 1999, through December 31, 1999. 

• NIOSH determined that it has access to sufficient information to either (1) estimate the 

maximum external and internal radiation doses for every type of cancer for which 

radiation doses are reconstructed that could have been incurred under plausible 

circumstances by any B&L workers from January 1, 1999, through December 31, 1999; 

or (2) estimate the external and internal radiation doses to B&L workers during the time 

period from January 1, 1999, through December 31, 1999, more precisely than a 

maximum dose estimate.

• The Board concurred with NIOSH's determination that dose reconstruction is 

feasible for the class of B&L workers covered by Petition 00230 for the period 

from January 1, 1999, through December 31, 1999, and therefore should not be 

added to the SEC.
Page | 4 

HHS Special Exposure Cohort Determination: 

Bliss and Laughlin Steel, Buffalo, New York [SEC 00230]

Health Endangerment

Because the Secretary established that it is feasible to estimate with sufficient accuracy the 

radiation doses encountered by B&L employees as specified in this class, a determination of 

health endangerment is not required. 

V. Effect of the Determination

Members of the class of employees covered by this determination and their survivors 

continue to be eligible to submit claims for compensation under EEOICPA. As required for 

cancer claims covering other Department of Energy and Atomic Weapons Employer 

employees (or Atomic Weapons Employees) not included in the SEC, qualified cancer 

claims under Part B of EEOICPA for members of this class will be adjudicated by the U.S. 

Department of Labor, in part, on the basis of radiation dose reconstructions which will be 

conducted by NIOSH. 

VI. Administrative Review of Determination

The determination provided in this report may be subject to an administrative review within 

HHS, pursuant to 42 C.F.R. § 83.18(a). On the basis of such a review, if the Secretary 

decides to designate the class of employees covered by this determination, in part or in 

whole, as an addition to the SEC, the Secretary will transmit a new report to Congress 

providing the designation and the criteria and findings on which the decision is based.